Provider Demographics
NPI:1033429519
Name:ERIC M FEIT DPM INC
Entity Type:Organization
Organization Name:ERIC M FEIT DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:FEIT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:310-548-3311
Mailing Address - Street 1:3655 LOMITA BLVD.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-548-3311
Mailing Address - Fax:310-548-3384
Practice Address - Street 1:1360 WEST 6TH ST.
Practice Address - Street 2:SUITE 240
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732
Practice Address - Country:US
Practice Address - Phone:310-548-3311
Practice Address - Fax:310-548-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYE3982213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5858920002Medicare NSC
CAU56777Medicare UPIN
CAE3982FMedicare PIN